Provider Demographics
NPI:1871144576
Name:TURK, STEPHEN (BCBA)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:TURK
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4804
Mailing Address - Street 2:
Mailing Address - City:BUENA VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81211-4804
Mailing Address - Country:US
Mailing Address - Phone:800-536-2340
Mailing Address - Fax:303-957-2251
Practice Address - Street 1:106 ISABEL CT
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:CO
Practice Address - Zip Code:81211-9551
Practice Address - Country:US
Practice Address - Phone:800-536-2340
Practice Address - Fax:303-957-2251
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1-18-29788103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst